LONGVIEW WELLNESS CENTER INC NPI 1528864063

NPI Information

  • NPI: 1528864063
  • Provider Name: LONGVIEW WELLNESS CENTER INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 1311 LILLY ST
    LONGVIEW, TX
    ZIP 75602
  • Phone: (903) 758-2610

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NPI Details

LONGVIEW WELLNESS CENTER INC is a federally qualified health center (fqhc) clinic center in Longview, TX. LONGVIEW WELLNESS CENTER INC NPI is 1528864063. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1311 LILLY ST
LONGVIEW, TX
ZIP 75602-167
Phone: (903) 758-2610
Fax: (903) 758-7081

The provider's authorized official is Timothy Chad Jones .
The authorized official title is Ceo and has the following contact phone number (903) 758-2610.

The enumeration date for this NPI number is 2/24/2025 and was last updated on 11/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2207V00000XObstetrics & GynecologyNo
3101YP2500XCounselorProfessionalNo
4261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
5207Q00000XFamily MedicineNo
6261QA0005XClinic/CenterAmbulatory Family Planning FacilityNo
7171M00000XCase Manager/Care CoordinatorNo
8261QP2300XClinic/CenterPrimary CareNo
9261QM1300XClinic/CenterMulti-SpecialtyNo
10208D00000XGeneral PracticeNo
11208000000XPediatricsNo
12251B00000XCase ManagementNo
13101YM0800XCounselorMental HealthNo
14261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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